Individual
J DENNIS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
737 BROADWAY N, FARGO, ND 58122-0001
(701) 234-4811
(701) 234-6979
Mailing address
253 CENTRAL AVE N, VALLEY CITY, ND 58072-2941
(701) 845-1511
(701) 845-1513
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
335
ND
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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